Pediatric Therapy Services of Macomb, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PEDIATRIC THERAPY SERVICES OF MACOMB, LLC

Practice address

130 N Side SQ
Macomb, IL 61455-2214

Phone

(309) 836-3456

Fax

(309) 836-5678

NPI assigned

Oct 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cheryl Lynn Baker, OTR/LNPI 1366528051

Title

Owner

Phone

(309) 836-3456

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Lynn Baker, OTR/L

  • Occupational Therapist
  • Macomb, IL
  • NPI 1366528051
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467538173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614550311",
            "telephone_number": "309-836-3456",
            "fax_number": "309-836-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N SIDE SQ",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552214",
            "telephone_number": "309-836-3456",
            "fax_number": "309-836-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES OF MACOMB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-836-3456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Passmore, DDS
• Prayag Naineshkumar Patel, MD
• Theodore James Pawlias, D.D.S.
• Lindsay J Peachey, N.C.C.
• Dana Peacock
• Rachel Ellen Pelton
• Michael Patrick Pendergast Sr., ATC
• Petersen Health Operations, LLC (Countryview Care Center of Macomb)
• Petersen Health Properties, LLC (Coutryview Care Center of Macomb)
• Jennifer M Plos, ATC

• Occupational Therapist in Macomb, IL
• Providers in Macomb, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.